Mandel Center for Hypertension and Atherosclerosis, the Duke Cardiovascular Research Center, Duke University Medical Center, Durham, NC (V.J.D., C.P.H.).
National Academy of Medicine, Washington, DC (V.J.D.).
Hypertension. 2024 Apr;81(4):702-708. doi: 10.1161/HYPERTENSIONAHA.123.21710. Epub 2023 Dec 19.
Hypertension affects >1 billion people worldwide. Complications of hypertension include stroke, renal failure, cardiac hypertrophy, myocardial infarction, and cardiac failure. Despite the development of various antihypertensive drugs, the number of people with uncontrolled hypertension continues to rise. While the lack of compliance associated with frequent side effects to medication is a contributory issue, there has been a failure to consider the diverse nature of hypertensive populations. Instead, we propose that hypertension can only be truly managed by precision. A precision medicine approach would consider each patient's unique factors. In this review, we discuss the progress toward precision medicine for hypertension with more predictiveness and individualization of treatment. We will highlight the advances in data science, omics (genomics, metabolomics, proteomics, etc), artificial intelligence, gene therapy, and gene editing and their application to precision hypertension.
高血压影响全球超过 10 亿人。高血压的并发症包括中风、肾衰竭、心脏肥大、心肌梗死和心力衰竭。尽管开发了各种降压药物,但血压控制不佳的人数仍在继续上升。尽管与药物频繁副作用相关的不依从性是一个促成因素,但人们未能考虑到高血压人群的多样性。相反,我们认为只有通过精准医学才能真正控制高血压。精准医学方法将考虑每个患者的独特因素。在这篇综述中,我们讨论了高血压精准医学在提高治疗预测性和个体化方面的进展。我们将重点介绍数据科学、组学(基因组学、代谢组学、蛋白质组学等)、人工智能、基因治疗和基因编辑及其在精准高血压中的应用。